Learner’s Agreement

I, ____________________________ is enrolled in the Open High School Program

(Name of Learner)
(OHSP) at ______________________________ as _________________________.
(Name of school) (Year Level)

As a learner, I am expected to undertake the following:

 to plan, implement and assess my learning through a self-directed learning plan;

 to report to my teacher the learning activities/tasks which I find difficult;

 to exercise time-management to finish any learning task required in each subject; and

 to finish my secondary course with the support of my family/guardian/benefactor.

I hereby agree to comply with the above-mentioned expectations to complete my secondary

education through the Open High School Program.

________________________
Learner

_______________________
Parent/Guardian

Noted:

_______________________ _______________________
Adviser School head
 Kasunduan

Ako si G/Gng/Bb. _________________________________________________

magulang/tagapangalaga ni _________________________________________
Mag-aaral sa ilalim ng Open High School Program ng paaralang ____________
___________________ ay nakahandang sumuporta sa mga sumusunod:

 pinansyal o material na kagamitan sa pag-aaral

 pagpapaalala sa mga gawaing pag-aaral at pagsusumite sa takdang panahon

 pagsasabi ng tapat sa mga guro tungkol sa pangangailangan ng mag-aaral at mga

kahirapan na kanyang pinag-dadaanan

 pagsubaybay ng buong katapatan sa mag-aaral hanggang sa makatapos sa mataas na

paaralan

_______________________ _______________________
Mag-aaral Magulang/Tagapangalaga

Bigyang pansin:

_______________________ _______________________
Adviser School Head
 OHSP Learning Plan

Learning Area: _______________ Grade Level: _________________

Date Taken:_________________
Learner's Name: ________________________________ Teacher: ___________________

1) No. of Desired Allotment Actual Initial Remarks

Module/Student Competencies Period (To Accomplishment Evaluation
Worksheets to be be Period
developed determined
by the
learner)

Summary of Modules Accomplished by Quarter

Learning Area:_______________________ Grade Level: _________________
Quarter: ____________________
Learner's Name:______________________________________________________________

Modules 1 2 3 4 5 6 7 8 9 10 Other Requirements

Taken
(Date)

Returned Over-all
(Date) Remark
 LEARNER’S PROFILE

Part I

1. Name __________________________________________________________________

2. Birthday_______________________ 3. Birthplace ______________________

3. Sex__________________________ 5. Age ___________________________

6. Mother’s name ________________ 7.Father’s name _________________________

8. Home address ________________________________________________________

Part II

Directions: Put a check in the box alongside each answer you choose.

9. What are your reason/s for choosing open learning?

I am over-age for high school □

I have a job and cannot come to school regularly □
I have a physical disability □
I live far from the school □
Others please specify _______________________________

10. What experiences in learning did you encounter?

Iwas often late in my classes □

Iwas frequently absent due to poor health □
Ifound the lessons too difficult □
Ihad unsatisfactory experiences with my teachers and/
or classmates □
Others, Please specify _______________________________
__________________________________________________

11. What possible problems do you anticipate with open learning?

The modules might be difficult □

The teachers may not give me enough time to
finish the module/s □
I may not have the support of my family □
I may not have the support of my supervisors □
Others, please specify ______________________________
_________________________________________________
12. What could be your main strengths to be successful in the open learning system?

I have strong determination to finish □

I have the full support of my family □
I have the full support of my superiors □
I am resourceful and industrious □
Others, please specify _______________________________
__________________________________________________

13. Where will you do most of your studying/learning?

At home □
In the work place □
In public learning centers (library) □
In the school library □

14. Will you have access to peer group support?

Yes □ No □

15. Have you any fears or anxieties about paper and pencil tests?

Yes □ No □

Appendix B
 Independent Learning Readiness Test (ILRT)

Below is a list of competencies that you are expected to demonstrate. Encircle the number in
the scale that corresponds to your answer for every item where:

3 means that you demonstrate the competencies with least or no

supervision/assistance from the teacher;

2 means that you demonstrate the competencies with some supervision/assistance

from the teacher; and

1 means that you demonstrate the competencies with much supervision/assistance

from the teacher.

I am able to: SCALE

1. Get information from print and non-print materials 3 2 1

2. Recall details read/heard/seen from different types of media 3 2 1

3. Relay information heard over the telephone and from

radio broadcasts 3 2 1

4. Interpret the information in graphics and billing

statements (electric, water, etc.) 3 2 1

5. Use the card catalogue to locate information 3 2 1

6. Follow signs and symbols to locate places or things 3 2 1

7. Follow directions using map 3 2 1

8. Fill out forms (schools, banks, etc.) 3 2 1

9. Follow instructions/steps in doing a task 3 2 1

10. Write personal letters and diaries 3 2 1

11. Solve simple mathematical problems 3 2 1

12. Interview people 3 2 1

Interpretation of the total rating:

29 – 36 Independent level
20 – 28 Instructional level
12 – 19 Beginning level